gms | German Medical Science

88. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

24.05. - 27.05.2017, Erfurt

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Assessment of metallic self-expandable tracheal stents in the management of chronic tracheal obstruction

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  • corresponding author Alaa Eldin Gaafar - ENT Department, Alexandria Faculty of Medicine, Alexandria University, Alexandria, Egypt
  • Sherief Shama - Department of Diagnostic Radiology, Alexandria Faculty of Medicine, Alexandria University, Alexandria, Egypt
  • Hisham El-Badan - ENT Department, Alexandria Faculty of Medicine, Alexandria University, Alexandria, Egypt
  • Ahmed El-Badawy - ENT Department, Alexandria Faculty of Medicine, Alexandria University, Alexandria, Egypt

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 88. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Erfurt, 24.-27.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17hno015

doi: 10.3205/17hno015, urn:nbn:de:0183-17hno0151

Veröffentlicht: 13. April 2017

© 2017 Gaafar et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Introduction: Chronic tracheal obstruction secondary to different pathologies either benign or malignant; is considered a potentially life-threatening condition. The use of metallic self- expandable stents (SETS) to relieve airway obstruction in central airway lesions was previously reported.

Aim: Our aim was to evaluate the use of metallic SETS in the management of central airway obstruction.

Methods: This study was conducted at the Otolaryngology Head and Neck Surgery Department of the Main Alexandria University Hospital, Egypt. All cases received SETS from January 2003 to December 2014 were included. Patients were classified into two main groups: benign and malignant tracheal obstruction. SETS were inserted under general anesthesia to relieve airway obstruction.

Results: Thirty three patients were included in the study. Nineteen patients were in the benign group. The main indication of tracheal stenting was being unfit for surgery. Fourteen patients were included in the malignant group, Four of them (28.6%) had primary tracheal tumors.

The stent was easily inserted in all patients with no significant intraoperative complications. Postoperative FU, the stents were well tolerated and all patients experienced good respiration. The most common complication encountered was obstructive granuloma which was statistically more significant in the benign group.

Conclusion: SETS could be considered as a therapeutic option for inoperable benign or malignant central airway obstruction. Strict follow-up is mandatory for early detection and management of expected complications.

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